Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.92 / $70.92 / $198.36	Facility		$52.92	$70.92	$198.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $58.02 / $104.40	Professional		$24.74	$58.02	$104.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $84.96 / $206.57	Professional		$32.44	$84.96	$206.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $109.71 / $367.51	Professional		$27.10	$109.71	$367.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $88.74 / $176.44	Facility		$36.77	$88.74	$176.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $162.54 / $462.09	Professional		$78.31	$162.54	$462.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $100.98 / $194.28	Facility		$36.77	$100.98	$194.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $100.98 / $194.28	Professional		$36.77	$100.98	$194.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $112.10 / $112.10 / $195.30	Professional		$112.10	$112.10	$195.30
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $115.54 / $196.41	Professional		$79.43	$115.54	$196.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $59.40 / $186.90	Professional		$48.50	$59.40	$186.90